Active NPI
Managed Care at Home Inc
- Home Health Agency
- Milpitas, CA
National Provider Identifier
1962830380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MANAGED CARE AT HOME INC
- Practice address
- 830 Hillview CT Ste 225
Milpitas, CA 95035-4563 - Phone
- (510) 739-1992
- Fax
- (510) 952-4264
- NPI assigned
- Oct 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernarde Mangebi Udo, FNP
- Title
- Administrator
- Phone
- (510) 739-1992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
830 Hillview CT Ste 225
Milpitas, CA 95035-4563
Mailing address
830 Hillview CT Ste 225
Milpitas, CA 95035-4563
Phone (510) 739-1992
National Provider Directory
National Provider DirectoryLocations
4510 Peralta Blvd
Ste 21
Fremont, CA 94536
Phone (510) 739-1992
830 Hillview Ct
Ste 225
Milpitas, CA 95035
Phone (510) 739-1992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382400000000",
"number": "1962830380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 HILLVIEW CT STE 225",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950354563",
"telephone_number": "510-739-1992",
"fax_number": "510-952-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HILLVIEW CT STE 225",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950354563",
"telephone_number": "510-739-1992",
"fax_number": "510-952-4264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAGED CARE AT HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-22",
"last_updated": "2013-10-22",
"status": "A",
"authorized_official_last_name": "UDO",
"authorized_official_first_name": "BERNARDE",
"authorized_official_middle_name": "MANGEBI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "510-739-1992",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.